Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivy Derosa, DO

Individual provider Dermatology Physician · NPI 1083935084

Ivy Derosa, DO is a Dermatology in Newtown, Pennsylvania. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2010, 16 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
PA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

104 Pheasant Run Ste 123
Newtown, PA 18940-3439
Phone: (215) 702-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 209 Floral Vale Blvd, Yardley, PA 19067-5524 — (215) 860-6100

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS015851 (PA)

Record details

NPI number1083935084
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESJuly 19, 2019
Mailing address104 Pheasant Run, Ste 123, Newtown, PA 18940-3413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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